Tuberculoses Oculaires et Tuberculoses Paraganglionnaires

BOOK REVIEWS 253

statement that the Hughes' technique is one of the best means at our disposal for partial or total lid reconstruction.

The book is well written and it will appeal to the practicing ophthalmologist who is in­terested in plastic surgery and in operations that can be used in everyday practice. The drawings emphasize clarity and simplicity rather than fine art work.

Irving Puntenney.

T H E ANTISEPTIC, April, 1954. The golden jubilee number of The Anti­

septic, its April, 1954, issue, is an impressive volume of over 700 pages which contains a series of summaries of the achievements of the last 50 years in each of the special fields of medical interest, among them ophthal­mology, and also many original essays by contributors from many lands. There are four ophthalmic articles on immunologic therapy, on vitamin-A deficiency, on retinal detachment, and on the plastic lens in cataract surgery.

T U B E R C U L O S E S O C U L A I R E S E T T U B E R C U L O S E S

PARAGANGLIONNAIRES. By L. Paufique and J. Brun. Paris, Masson et Cie., 1953. 186 pages, 43 illustrations. Price: 1,350 francs. This monograph is the product of the close

collaboration of Paufique, ophthalmologist, and Brun, phthisiologist, both associate pro­fessors at the Lydon Medical School. The limitations of clinical and laboratory exami­nations are thoroughly discussed. Up to the age of six years, a positive von Pirquet test is practically diagnostic. The excellent chap­ter on differential diagnosis fails, however, to mention toxoplasmosis.

In the 15 pages devoted to therapy the authors stress that streptomycin is still the most important chemotherapeutic agent. Tuberculin is administered on a tentative basis and abandoned if no amelioration is

evident after a dozen injections. But if favorable results follow, they advise three series of 16 injections the first year, two such series the second year, and then one series annually for the next three years. Large doses of vitamin D are considered valuable adjuvant treatment in tuberculous iritis of middle age and in tuberculous periphlebitis.

The term "paraganglionnaires" is a neolo­gism, introduced to emphasize the inter­dependence of certain types of ocular tuber­culosis with tuberculous adenopathy, and this concept is elaborated in 82 pages. The tuber­culous adenopathy is neutralized by X-ray treatments, which indirectly act on the tubercle bacilli by the tissue reaction pro­voked. For peripheral adenopathy, as in the cervical glands, 150 kv. is advised with a filter of 0.5-mm. copper; for mediastinal adenop­athy the same filtration is used with 180 kv. A series of five treatments of 25 r to 100 r is given at weekly intervals and after a month the series is repeated. The tuberculin reaction in the skin does not necessarily reflect the allergy of the eye. The tubercle bacillus undergoes profound changes in the lymph glands which in turn become the pivot of the phenomena of allergy and immunity.

James E. Lebensohn.

ARCHIVES OF THE OPHTHALMOLOGICAL SO­CIETY OF NORTHERN GREECE. Thessaloniki, Greece, 1952. This is the first volume of the newly

formed Ophthalmological Society in North­ern Greece, and it is a welcome contribution to the Greek ophthalmic literature. It contains 26 reports and presentations of cases.

Zervakakos reports a case of oculogyric crises in a 35-year-old man and emphasizes its diagnostic significance in Parkinsonism. The patient apparently suffered from a hy-perkinetic form of encephalitis three years previously.

Karagounidis recommends the early use of aureomycin in herpetic keratitis. He had a

F. H. Haessler.